The first issue of the Journal in 2018 has three review articles. Samui has discussed the role of corticosteroid therapy in patients with swine flu (H1N1 influenza). The disease is often mild, but serious complications may develop involving many organs. Specific treatment is not available. The author has reviewed the present literature and found that corticosteroid therapy is without benefit and its routine administration is not recommended. Swain et al. have reviewed the serious condition of mucormycosis of head and neck, which often occurs in immunocompromised patients. This fungal infection has an affinity for vascular and lymphatic tissue and may extend intracranially. Early initiation of antifungal agents and surgery and a multidisciplinary management are necessary for treatment. Rayudu has discussed the common abnormality of mitral valve prolapse, which has a large clinical spectrum ranging from asymptomatic auscultatory or echo-Doppler observation to frank mitral regurgitation requiring valve surgery. Primary and secondary forms of the disorder and recommendations for management are brought out.

Kapil Mani has presented his results on the functional outcomes of the management of Type C distal humerus fractures in adults with fixation by orthogonal double plating. The outcome was found to be satisfactory.

A number of instructive cases are included. Marappan encountered pneumocephalus and subdural hygroma while treating chronic subdural hematoma, which developed in a patient after trivial head injury. Gite reports identification of microfilaria on aspiration examination of cervical lymph node in a patient with diabetes and fever. Madi describes the finding of a large intramuscular ganglion cyst in a patient with chronic pain in knee for 10 years. Surgical removal of the cyst resulted in improvement of the symptoms. Sinha et al. report a case of scrub typhus with multiorgan involvement and complete heart block, successfully managed with supportive care and placement of permanent pacemaker. Sundaram et al. report their finding of an unusual variant of uterine leiomyoma getting attached to the omentum with multiple large feeding vessels from it. Swain et al. detected abscess of the nasal septum in a child with acute onset of nasal obstruction. They present a review of this rare entity, which requires urgent surgical intervention. Adithya et al. report the occurrence of volvulus and intestinal obstruction in an adult with the underlying cause being congenital mesenteric defect. This abnormality is well recognized in children, but infrequent in the older age group. Other cases include dermatoid cyst of pancreas, Klippel–Feil syndrome, adrenal myelolipoma.

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